| NPI | 1184397754 |
|---|---|
| Doing Business As | SSM HEALTH BEHAVIORAL HEALTH OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Provider Enrollment 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |